Individual
EVELYN FAITH HOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7327 196 PLACE, FRESH MEADOWS, NY 11366-1812
(718) 468-7947
Mailing address
7327 196 PLACE, FRESH MEADOWS, NY 11366-1812
(718) 468-7947
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019630-1
NY
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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